Individual provider Active NPI

Angela N Croessman-Marshall, AGNP-C

  • Adult Health Nurse Practitioner
  • O'Fallon, IL
National Provider Identifier
1023994274
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209032939 Issued in IL
Practice address
3 Saint Elizabeth Blvd Ste 5000
O Fallon, IL 62269-1282
Phone
(618) 641-5803
Fax
(618) 607-5116
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2025034851 MO
Adult Health Nurse Practitioner 363LA2200X 209032939 IL Primary

Addresses

Primary practice location

3 Saint Elizabeth Blvd Ste 5000
O Fallon, IL 62269-1282

Mailing address

3 Saint Elizabeth Blvd Ste 5000
O Fallon, IL 62269-1282
Phone (618) 641-5803

Other names 1

  • Ms. Angela N Croessman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aboyettnelson229512@ewd.direct.hshs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250926001277 MO Practitioner - Nurse Practitioner 1557866837 Reassigns benefits to 1 organization
I20260223002842 IL Practitioner - Nurse Practitioner 1557866837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1215 Vandalia St
Collinsville, IL 62234-4060
Phone (618) 343-6015

3 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 641-5803

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209032939ILMDAdult Health Nurse Practitioner
2025034851MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Oct 1, 2025 Accepting new patients
SSM Health Care Group CurrentSince Oct 1, 2025 Accepting new patients
HSHS Medical Group Inc CurrentSince Mar 16, 2026 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Dec 15, 2025 Accepting new patients
HSHS Medical Group Inc CurrentSince Mar 16, 2026 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1215 Vandalia St
Collinsville, IL 62234
Phone (618) 343-6015

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

3 Saint Elizabeth Blvd
Shiloh, IL 62269
Phone (618) 233-6044

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

Interoperability endpoints

  • Direct secure messaging: aboyettnelson229512@ewd.direct.hshs.org
  • Direct secure messaging: acroessmanmarshall561439@direct-ehr-ssmhc.com
  • Direct secure messaging: angela.croessman-marshall.1@9559.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1023994274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 5000",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "618-641-5803",
            "fax_number": "618-607-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 5000",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "618-641-5803",
            "fax_number": "618-607-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROESSMAN-MARSHALL",
        "first_name": "ANGELA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2025034851",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209032939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aboyettnelson229512@ewd.direct.hshs.org",
            "affiliation": "N",
            "address_1": "3 Saint Elizabeth Blvd Ste 5000",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CROESSMAN",
            "middle_name": "N",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.